While evaluating the effectiveness of a drug administered to an ...

[jon_i]

While evaluating the effectiveness of a drug administered to an older client 1 hour ago the nurse notes that the client is confused and disoriented. What should the nurse conclude about this observation?
 
  1. Expected response to the drug
  2. Client is demonstrating normal aging confusion.
  3. This might be an effect of polypharmacy.
  4. The client has a fever.

Question 2

The nurse is preparing to administer diazepam (Valium) to a client who is experiencing anxiety. According to the schedule for controlled substances, the nurse realizes that this drug is a schedule 4 drug with:
 
  1. low abuse potential.
  2. limited abuse potential.
  3. moderate abuse potential.
  4. high potential abuse and no accepted medical use.

[Madisongo23]

Answer to Question 1

Answer: 3

1. If the client was not confused before administration of the drug, but is when the nurse evaluates, the client is not responding well to the drug.
2. Confusion is not an expectation of aging.
3. Many older clients take multiple drugs, which can diminish or potentiate other drugs. This is also known as polypharmacy.
4. Confusion can be result of a high fever in the older client, but the nurse first would suspect the medication given an hour ago.

Answer to Question 2

Answer: 1

1. Diazepam (Valium) has a low abuse potential.
2. Limited abuse potential includes schedule 5 drugs with small amounts of narcotics like antitussives.
3. Drugs with moderate abuse potential are schedule 3 drugs that are a mix of opioids and nonnarcotics such as Lortab.
4. Schedule 1 drugs are high-abuse-potential drugs that are not used in the medical field. An example would be heroin.